title: [Epidemiological study on addictive behaviours during pregnancy in a universitary department].
abstract: OBJECTIVE
  Epidemiological study on addictive disorders during pregnancy.
  
  
  METHODS
  An epidemiological study about addictive disorders has been led in the maternity of the University Hospital of Nantes in 2008 on a sample of 300 women, just after childbirth. The prevalence of consumption of drugs was assessed on declared consumption of legal and illegal substances and on the Fagerström questionnaire, the AUDIT questionnaire and the CAST questionnaire. Diagnostic of eating disorders was based on DSM IV criteria of mental anorexia and bulimia nervosa.
  
  
  RESULTS
  At the beginning of pregnancy, 34% of women used tobacco, 63% alcohol and 8% cannabis. Among the women of the study 0.7% had criteria for mental anorexia, 2.3% for bulimia nervosa and 9% for sub clinic forms. After the first trimester, 22% of women declared using tobacco, 20% alcohol and 3% cannabis. The use of various drugs during pregnancy concerned 6.3% of women, and 38% used at least one drug after the first trimester.
  
  
  CONCLUSIONS
  The high prevalence of addictive disorders during pregnancy should incite professional of prenatal care to improve their screening methodology and not only when tobacco or alcohol is suspected.
authors.affiliation: Service d'addictologie, hôpital Jaint-Jacques, CHU de Nantes, 85 rue Saint-Jacques, Nantes cedex 1, France. anne.chasseventpajot@chu-nantes.fr
authors.forename: A
authors.initials: A
authors.lastname: Chassevent-Pajot
authors.forename: M
authors.initials: M
authors.lastname: Guillou-Landréat
authors.forename: M
authors.initials: M
authors.lastname: Grall-Bronnec
authors.forename: L
authors.initials: L
authors.lastname: Wainstein
authors.forename: H-J
authors.initials: HJ
authors.lastname: Philippe
authors.forename: P
authors.initials: P
authors.lastname: Lombrail
authors.forename: J-L
authors.initials: JL
authors.lastname: Vénisse
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000453:epidemiology; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D005602:France / Q000453:epidemiology; D006785:Hospitals, University; D006801:Humans; D002189:Marijuana Abuse / Q000175:diagnosis / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000175:diagnosis / Q000453:epidemiology